Organization
MEDITERRANEAN M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZANNE BOTROUS (PEDIATRICIAN)
(973) 678-3776
Entity
Organization
Contact information
Practice address
185 CENTRAL AVE, SUITE 308, EAST ORANGE, NJ 07018-3332
(973) 678-3776
Mailing address
185 CENTRAL AVE, SUITE 308, EAST ORANGE, NJ 07018-3332
(973) 678-3776
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
MA61272
NJ
Other
Enumeration date
08/07/2009
Last updated
09/14/2009
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